Healthcare Provider Details
I. General information
NPI: 1013038488
Provider Name (Legal Business Name): HIGHWAY 53 MEDICAL CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8208 HIGHWAY 53
TONEY AL
35773
US
IV. Provider business mailing address
PO BOX 129
TONEY AL
35773-0129
US
V. Phone/Fax
- Phone: 256-859-2918
- Fax:
- Phone: 256-859-2918
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QC1500X |
| Taxonomy | Community Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CELIA
LLOYD-TURNEY
Title or Position: DIRECTOR
Credential: MD
Phone: 256-859-2918